Casandra L Gibson
Individual provider Active NPI Behavior Analyst · Newberry, MI
NPI 1396668992 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1396668992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 106S00000X (MI)
- Practice address
- 14126 County Road 428
Newberry, MI 49868-7762 - Phone
- (906) 293-3284
- NPI assigned
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 106S00000X | MI | Yes |
Addresses
Primary practice location
14126 County Road 428
Newberry, MI 49868-7762
Mailing address
PO Box 114
Newberry, MI 49868-0114
Other providers in Newberry, MI
- Eric S Laroue DDS PC
- Laura Jeanne Everhart
- Casey Gehrett
- Morgan Gelinas
- Laura Lynn Generou
- Patricia M Gill
- Great Lakes Recovery Centers
- Krista Groll
- Dennis Lee Guillard
- Helen Newberry Joy Hospital
All providers in Newberry, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.